NCG130001_Renewal COC Request_20191028 4:17:18 PM

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NORTH CAFOLINA
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Permit COC
NCG130001
Number *
Enter the Certificate of Coverage (COC) number, not the General Fbrmt number (e.g., NCGO30222 is the COC, not
NCG030000) M-ST BEGIN WTTH CAFTTAL "NCG'
Name of Person
Lee Strickland
Obtaining COC*
First and LastNarra
Phone Number* 9192706441
Email * [e-mail]
The COC will be e-rrailed to this contact.
Additional Email [e-mail]
(Optional) Enter an additional email address to whom to send the COC
Please review the information below for accuracy before submitting. If there are inconsistencies, please
contact Bethany Georgoulias at [phone] or [e-mail].
Master General
NCG130000
Permit No.
COC No.
NCG130001
Permittee
Elite Waste Services LLC
Facility Name
Elite Waste Services, LLC
Address
227 S Holman St
City
Durham
County
Durham
Waterbody
Ellerbe Creek
Classification
WS-IV;NSW
River Basin
Neuse
RENEWAL STATUS
Active
issuance Date*
05/31/2018
Effective Date
06/01/2018
I hereby request a copy of the Certificate of Coverage (COC) entered above. I understand that the COC e-mailed as a
result of this request will serve as the Permittee's record of renewed coverage under the General Permit, and that this
record must be maintained with the Permittee's NPDES Stormwater Permit records.
Signature *

Date * 10/28/2019